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4

Welcome to the 11th edition of ENT & Allergy Associates’ “Medicine for the 21st Century” magazine.

I

t is, once again, our privilege to share what we believe is clinically valuable and relevant information that you can use in your practice now.

As I’m sure you would agree, the past year has flown by! But we used the time to continue to grow our Practice footprint—bringing aboard more of the best and the brightest otolaryngologists and related sub-specialists, allergists and hearing care professionals—and to further augment our state-of-the-art technology, all with the singular goal of helping you best serve the deserving patients in our many communities.

We recognize that as primary caregivers, your skill, training and insight are the keys to better outcomes for your patients. And we, at ENT and Allergy Associates LLP (ENTA), are gratified that you have chosen to send so many of them to us for specialized care. You have our commitment that we will always strive to deliver the highest quality medical care to each and every one of those patients…with compassion, expertise and respect.

e n t a n d a l l e r g y . c o m

Robert P. Green, M.D., F.A.C.S.

Over the past 12 months, ENTA has sought out even better ways to help. We broadened our geographic offerings to include new offices on Long Island and in the Hudson Valley; we deepened our clinical affiliation with the Mount Sinai Hospital to ensure even faster referral from our offices to tertiary care in their academic facilities; we initiated a pediatric affiliation with Montefiore Medical Center; and we enhanced our partnership with the American Cancer Society. At the same time, we continue to be most proud of our relationships with the many fine local medical institutions in the communities where we are privileged to serve. In our offices, as always, your patients will experience a warm, caring environment. In fact, at ENTA they are visiting a physician who lives in the neighborhood, just like you. A person who sends their kids to the same schools as you, and has the same personal stake in the well-being of the community. And, in our continuing effort to provide as much convenience and accessibility as possible, this past year we began offering patients same day appointment capabilities, as well as greatly expanded evening and Saturday hours. But while a number of things have changed, what will never vary is our commitment to our fellow physicians. As always, we pledge to stand side-by-side with you to provide the best medical care for your patients despite this rapidly changing health care environment. We send our sincerest gratitude to our sponsors for helping us make this educational magazine possible, and encourage you to consider their superior products and services, as we ourselves do. And most importantly, we want to once again thank all of you, our valued colleagues, for your continued partnership as we strive to serve our mutual patients with the finest medical care possible. Please feel free to email me at [email protected] with any comments, questions, or suggestions you might have about the magazine or our services. We sincerely hope you enjoy the physician authored articles that follow. Warm Regards, Robert P. Green, MD, FACS President ENT and Allergy Associates, LLP Medical

ENT & Allergy is designed and published by Custom Medical Design Group • 1.800.246.1637 • www.CustomMedicalMagazine.com. To advertise in an upcoming issue please contact Dave Lewcon at 508.278.6521 • This publication may not be reproduced in part or whole without the express written consent of Custom Medical Design Group.

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Bay Shore

375 East Main Street, #17 Bay Shore, NY 11706 (631) 665-2430

Fishkill

200 Westage Business Center Suite 224 Fishkill, NY 12524 (845) 896-1809

Garden City

990 Stewart Avenue Suite 610 Garden City, NY 11530 (516) 222-1881

Hackensack

385 Prospect Avenue 2nd Floor Hackensack, NJ 07601 (201) 883-1062

Hoboken

210-33 26th Ave., Ground Floor Bayside, NY 11360 (718) 631-8899

79 Hudson Street Suite 303 Hoboken, NJ 07030 (201) 792-1109

Bridgewater

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245 Route 22, 3rd Floor Bridgewater, NJ 08807 (908) 722-1022

Brooklyn Heights

300 Cadman Plaza West (1 Pierrepont Plaza) Suite 1301, Brooklyn, NY 11201 (718) 208-4449

Bronx

1200 Waters Place, Suite 110 Bronx, NY 10461 (718) 863-4366

Carmel

670 Stoneleigh Avenue Building #665 Suite 205 Carmel, NY 10512 (845) 279-9500

East Patchogue

240 Patchogue-Yaphank Road, Suite 1 East Patchogue, NY 11772 (631) 654-0550

East Side - NYC

210 East 86th Street, 9th Floor New York, NY 10028 (212) 722-5570

Englewood

177 North Dean Street South Penthouse Englewood, NJ 07631 (201) 567-2771

Fifth Avenue - NYC

261 5th Avenue, Suite 901 New York, NY 10016 (212) 679-3499

3003 New Hyde Park Road Suite 409 Lake Success, NY 11042 (516) 775-2800

Middletown

75 Crystal Run Road Building B, Suite 220 Middletown, NY 10941 (888) 350-1368

New Rochelle

145 Huguenot Street, Suite 610 New Rochelle, NY 10801 (914) 235-1888

New Windsor

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Old Bridge

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251 East Oakland Avenue Port Jefferson, NY 11777 (631) 928-0188

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Riverhead

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Shrewsbury

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Smithtown

300 East Main Street Smithtown, NY 11787 (631) 265-3727

Southampton

365 County Road, 39A Benton Plaza Unit #3 Southampton, NY 11968 (631) 283-1142

Staten Island

1 Teleport Drive Suite 200 Staten Island, NY 10314 (718) 370-0072

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8

7 S urprising F acts A bout A cid R eflux Jo n ath an E . Av i v , M . D ., F.A.C .S.

Otolaryngology & Head and Ne ck Su r ge r y ENT and Allergy Associ a te s , L L P

e n t a n d a l l e r g y . c o m

A

cid reflux, traditionally thought of as a disease presenting as heartburn, is finally being recognized as a condition that can show up not only with stomach issues, but with throat problems too.

Acid reflux occurs when stomach acid goes the wrong way, that is, backwards up into the esophagus and throat (the esophagus is the tube that connects the throat to the stomach). There are seven things you should be aware of when it comes to this malady.

1. Acid reflux everywhere

60 million Americans have acid reflux. What was once thought of as a disease of overweight, middle-aged, white men now cuts across all body types, generations, races and genders.

and garlic (yes, your 6 favorite food groups). The half dozen that are very acidic, and can directly inflame the throat, and everything around it, are: Sugary soda, bottled ice tea, white wine, citrus, tomato and vinegar.

6. Creative in the kitchen: Acidic food can be neutralized

Healthy, acidic foods such as berries can have their acidity neutralized by buffering them with more alkaline (less acidic) foods. For example, strawberries, blueberries and raspberries can become safe for people with acid reflux by adding almond milk to the berries in a smoothie. Almost every smoothie store offers an almond milk option.

2. It’s not just heartburn

There are two types of acid reflux disease, “Heartburn Reflux” where the main complaint is heartburn, and “Throatburn Reflux” where the main complaints are “ccchuching” symptoms (that guttural throat sound which we all know what it sounds like, but try spelling it), such as chronic cough, frequent throat clearing, hoarseness, sore throat, and/or a lump-like sensation in your throat. With Throatburn Reflux, you have acid reflux without having that heartburn feeling.

3. Who cares about a little heartburn?

Untreated, or insufficiently treated, acid reflux disease can lead to severe inflammation in the esophagus, stomach, lungs, vocal cords and throat which can cause ulcers, pneumonia, vocal cord polyps and breathing problems.

4. What’s the worst that can happen?

In some cases, untreated acid reflux can even progress to esophageal cancer, the fastest growing cancer in America and Europe since the mid 1970’s.

5. The acid reflux “dirty dozen”

There are 12 commonly consumed “foods” that cause acid reflux, either indirectly by having effects on the stomach, or directly because they are so acidic. The half dozen that are not very acidic, but that allow acid to fly up from the stomach are: Caffeine, chocolate, alcohol, mint, onion,

7. Don't touch me there: The latest, and safest, in diagnosis

There is a new method to diagnose acid reflux which doesn’t require any type of sedation, thereby avoiding it’s potential complications. The alternative is called TransNasal Esophagoscopy (TNE), where an ultrathin camera, the size and softness of cooked spaghetti, is used to examine the esophagus with the patient wide awake, in a doctor’s office. As no sedation is necessary, TNE is safer, and less expensive, than the traditional exam of the esophagus. So the next time you are discussing sedation during endoscopy with your doctor, ask: Are there alternatives?

9

Clinical Research at ENT a n d A l l e r g y A s s o c i a t e s , LLP K e v i n Br aa t , M.D .

Otolaryngology, Head & Neck Su r ge r y ENT and Allergy Assoc ia te s , L L P

Allergy and Asthma Trials

Patients who experience food, seasonal and/or perennial allergy and asthma symptoms can contact us to discuss inclusion criteria for one of our allergy trials. We are recruiting for both pediatric and adult trials. Some of the

current allergy trials include cow’s milk allergy, new cat peptide immunotherapy and a new inhaler for treatment of chronic persistent asthma.

Ear Tubes

We have a topical antibiotic clinical trial enrolling candidates needing ear tubes. This study involves administration of a FDA approved topical antibiotic post surgically.

Tinnitus

A phase 3 clinical trial for a new topical medication to treat acute-onset tinnitus is ongoing. The tinnitus can be the result of any acute traumatic event such as head trauma, noise exposure, barotrauma, or middle ear infection.

Eustachian Tube Dysfunction.

Patient recruitment is underway for a randomized clinical study of safety and efficacy of balloon dilation procedure for adults with chronic Eustachian Tube Dysfunction.

e n t a n d a l l e r g y . c o m

C

linical research is a branch of healthcare science that determines the safety and effectiveness of medications, devices, diagnostic products and treatment regimens intended for human use. These may be used for prevention, treatment, diagnosis or for relieving symptoms of a disease. Clinical Research is different from clinical practice; in clinical practice one uses established treatments while in clinical research evidence is collected to establish a treatment. Many clinicians at ENT and Allergy Associates, LLP participate in clinical research. Currently, there are approximately 20 clinical trials underway by ENT and Allergy physicians. Here is a sample of what we are doing:

10

When your business succeeds, we all succeed. Alpha-Gal/Mammalian Meat Allergy

e n t a n d a l l e r g y . c o m

Since the discovery of a new meat allergy was identified in regions of the country endemic with ticks, many of the allergists have been busy testing and treating patients for this condition. One of our allergists, Dr. Erin McGintee, is working with researchers at The University of Virginia School of Medicine gathering data for a large multi-center case series report to increase awareness of atypical signs and symptoms of tick borne illnesses. Patients with suspected alpha-gal allergy should contact our Clinical Research team for referral to one of our allergy specialists.

Obstructive Sleep Apnea

Dr. Ofer Jacobowitz is investigating a new device for patients with Obstructive Sleep Apnea. This phase 2 study is collecting data to determine the safety and efficacy of a surgically implanted hypoglossal nerve stimulator. This device is designed to reduce or eliminate sleep apnea episodes. Qualified individuals have a diagnosis of Obstructive Sleep Apnea and have not received lasting benefit from CPAP or other treatments.

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Sinusitis

ENTA is currently seeking participants for a clinical research study evaluating the safety and effectiveness of the investigational dilation system for frontal and sphenoid sinus treatment.

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Laryngeal Pain

Research into throat/neck pain with phonation, known as odynophonia, is lacking. We are conducting a retro-spective study to determine whether correlations exists between laryngeal pathology and odynophonia, sidedness of the pain with the particular laryngeal pathology and whether improvement in laryngeal pathology results in improvement in pain. Pipeline studies include propel use in office, cocaine as an anesthetic for office procedures, a different and new sinus dilation device and a thyroid FNA genomic signature study. The physicians of ENT and Allergy Associates are dedicated to providing each and every one of our patients with the best care possible ... today and tomorrow. We believe that actively participating in clinical research trials and protocols—which can help identify newer and better health care solutions—is a smart and necessary part of this. We welcome your interest and inquiries, and thank you for your trust and loyalty. For additional information on Clinical Research @ ENTA or to refer a patient for enrollment in one of our trials, contact our Clinical Research team @ 845-562-5941.

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12

Seasonal Allergies: How Can We Help Our Patients Feel Better? Ji l l i an H o c h feld er , M.D .

Allergy, Asthma and Im m u no l o gy ENT and Allergy Asso ci ate s , L L P

e n t a n d a l l e r g y . c o m

A

s allergy season has been getting progressively worse each year, the number of people afflicted by seasonal allergies, or allergic rhinitis and conjunctivitis, seems to be growing. Furthermore, those patients who have had minor symptoms in past years are presenting with more severe symptoms now. With up to one quarter of the population being affected by allergies in developed countries, every primary care provider is sure to see patients with these complaints. The mainstays of treatment for seasonal allergies continue to be allergen avoidance and pharmacotherapy; however, complete allergen avoidance is virtually impossible when the allergen is pollen, which is present every time a patient steps outside or opens their front door. This is especially difficult for patients who work outdoors and for those who work in buildings without air conditioning. Pharmacotherapy most commonly includes oral antihistamines and leukotriene inhibitors, as well as intranasal corticosteroids and intranasal antihistamines. While these medications work very well for many people, there are treatment failures due to poor compliance, improper technique when using nasal sprays, and unresponsiveness to medications even when used properly. For patients who fail medical management, who require medications for many months of the year, or who do not wish to be taking medications, immunotherapy is another option to consider. Immunotherapy, most commonly known as allergy shots, changes the course of the disease and can induce long-term remission for allergy sufferers. While both allergen avoidance and pharmacotherapy can improve the symptoms that patients experience with allergic rhinitis and conjunctivitis, once the patients are exposed to their allergens again, the symptoms will recur.

Immunotherapy, most commonly known as allergy shots, changes the course of the disease and can induce longterm remission for allergy sufferers. For patients who had difficulty this spring with their allergies, now is the time to refer them to a board certified allergist so they can consider starting immunotherapy and reap the benefits by next spring season!

13

Food Allergy: The Challenges Facing

the

Patients Jo o n H . P a r k, M.D .

Allergy, Asthma and Imm u no l o gy ENT and Allergy Assoc iate s , L L P

pattern of increased food allergy prevalence. Some of the more common food allergens responsible for a relatively high proportion of food allergy are cow’s milk, hen’s egg, soy, wheat, peanut, tree nuts, fish, and shellfish. As these foods are all very commonly found and contained in our diet, there exists a significant challenge for food allergic individuals as they try to maintain an appropriate diet free of relevant food allergens. Another challenge that is frequently encountered in dealing with food allergy is the issue of food sensitivity. Food sensitivity merely indicates the presence of IgE antibodies (“allergic antibody”) to a food, often in the absence of adverse symptoms or “reactions.” When patients with food sensitivity demonstrate an adverse response upon ingestion of a food to which they are sensitized, they can be more accurately categorized as having food allergy. Given an increased awareness of food allergy in recent years, patients

e n t a n d a l l e r g y . c o m

I

n recent years, we have observed an increased prevalence of food allergy. Based on a recent review of various published studies, food allergy is estimated to affect between 1% and 10% of the population, reflecting a growing public awareness and concern for food allergy. Although there are several ideas proposed to account for the increased prevalence of food allergy, such as hygiene hypothesis (increased hygiene leading to a shift in immune system towards allergic pathway), vitamin D (vitamin D deficiency being associated with increased food sensitization), dietary fat (reduced consumption of omega-3 fatty acids leading to increased food sensitization), reduced consumption of antioxidants found in fresh fruits and vegetables (diet low in antioxidant and high in processed foods leading to higher susceptibility to allergy), obesity (leading to inflammatory state), and food processing (various food preparation methods affecting allergenicity of foods), none has been conclusive in elucidating observed

14

e n t a n d a l l e r g y . c o m

As we further our knowledge about food allergy with ongoing, active research studies, now is the time to face the challenges of food allergy with more confidence! undergo food allergy testing more commonly now than ever before for various medical reasons, and it is not uncommon that food sensitivity is discovered in asymptomatic patients. An important question then arises: should they start avoiding certain foods based on positive test results alone? What are the risks involved in continuing to ingest those foods in question? Should they carry epinephrine? What should they do when they dine out or travel internationally? For children, how should this be addressed in their school? The list goes on and on. There are many intricacies involved in the accurate diagnosis and management of food allergy, and it is also important to distinguish food allergy from food sensitivity. Diagnosis of food allergy affects patients’ lives in a myriad of ways: from altering their dietary habits, to being prepared to appropriately deal with allergic reactions, to educating family members, to name a few. In children especially, food allergy can also have negative psychosocial effects, including bullying. On the other hand, a subset of patients with food sensitivity can still tolerate the food in question; however, this determination should be made only after a proper evaluation and consultation with an expert in food allergy. This is an important decision to make, however, as it can have a tremendous implication on a patient’s quality of life, including avoiding unnecessary dietary elimination. With growing public awareness for food allergy, it is likely that we will discover more patients who will be left with positive test results for foods. The answer is not always avoidance, especially if it represents a mere sensitization without clinically significant food allergy. Board-certified allergists can help these patients find the right answer so that they can receive proper treatment plans tailored to their specific clinical scenario. As we further our knowledge about food allergy with ongoing, active research studies, now is the time to face the challenges of food allergy with more confidence! Dr. Joon H. Park is a board-certified allergist/immunologist who has an extensive experience in diagnosing and treating food allergy. During his fellowship training at Mount Sinai Medical Center, he has also participated in food allergy research under the mentorship of world-renowned food allergists. He practices in our Middletown office in NY.

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Year after year, new physicians join ENT and Allergy Associates and the Practice continues to grow. We pride ourselves on delivering the best quality care to all of our patients and maintaining great relationships with those who continue to refer their patients to us. Beginning in the summer of 2015 and continuing through 2016, the following changes will be in effect at certain of our office locations:

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• As of August 1, 2015, Drs. Robert Gargano, Todd Campbell, Eric Bergson, Joseph Bonafede and Thomas O’Donnell joined ENTA and are working out of our new Bay Shore office (375 East Main Street) and East Patchogue office (240 Patchogue Yaphank Road). • As of September 1, 2015, Drs. Ed Lipinsky, Ron Gottlieb and Anna Stern join ENTA and will be working out of our new Smithtown office (300 East Main St.). • As of November 1, 2015, Otolaryngologist and Facial Plastic Surgeon Agata K. Brys, MD will become a member of ENTA’s Parsippany office located at 3219 Route 46 East, Suite 203. • At the end of 2015, we are relocating and consolidating our Englewood and Hackensack offices into one brand new, state-of-the-art clinical office in Hackensack at the Continental Plaza, 433 Hackensack Avenue. • In January 2016, we are opening a brand new Suffolk County office in Hauppauge, New York. The 16,000 sf, 28-exam room State-of-the-Art medical suite is located on the 2nd floor of the former Met Life Building, located at 2929 Expressway Drive. The Bay Shore and Smithtown physicians will work out of this new office location. • Effective first quarter 2016, otologist/neurotologist George Poulos, DO will practice out of our new location in Hauppauge. • Effective first quarter 2016, allergist and immunologist Laura C. Helfner, MD will practice out of our new location in Hauppauge. • Otolaryngologist Jason B. Wasserman, MD will become a member of ENTA’s Bayside, New York office located at 210-33 26th Avenue, effective September 1, 2016.

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ENT & ALLERGY P h y s i c i a n P r o f i l e s

Stephen Abrams, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Wayne

Patrick M. Ambrosio, D.O., F.A.C.A.A.I.

Ricardo Arayata, M.D., F.A.C.A.A.I. Allergy, Asthma and Immunology New Rochelle

Anna Aronzon, M.D. Otolaryngology & Head and Neck Surgery Wall Street

Jonathan Aviv, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery East Side

Andrew Azer, M.D. Otolaryngology & Head and Neck Surgery Woodbridge and Old Bridge

Carol G. Baum, M.D., M.B.A., F.A.C.P., F.A.A.A.A.I. Allergy, Asthma and Immunology West Side

Russell Beckhardt, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Astoria and Garden City

Paul A. Bell, M.D. Otolaryngology & Head and Neck Surgery Garden City

Eric J. Bergson, M.D.* Otolaryngology & Head and Neck Surgery Bay Shore and East Patchogue

Michael Bergstein, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Yorktown and Sleepy Hollow

Nitin Bhatia, M.D. Otolaryngology & Head and Neck Surgery White Plains

Andrew L. Blank, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bayside

Bradley Block, M.D. Otolaryngology & Head and Neck Surgery Garden City

Joseph P. Bonafede, M.D.* Otolaryngology & Head and Neck Surgery Bay Shore and East Patchogue

Ryan Borress, M.D. Otolaryngology & Head and Neck Surgery Poughkeepsie

I. David Bough, Jr., M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Oradell and West Nyack

Kevin Braat, M.D. Otolaryngology & Head and Neck Surgery Riverhead and Southampton

Agata K. Brys, M.D.* Otolaryngology & Head and Neck Surgery Parsippany

Robin M. Brody, M.D. Otolaryngology & Head and Neck Surgery Englewood and Hackensack

Vito Brunetti, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Wayne

Dennis A. Burachinsky, D.O. Otolaryngology & Head and Neck Surgery Bridgewater

Marie M. Camacho-Halili, M.D. Allergy, Asthma and Immunology Bridgewater

Todd W. Campbell, M.D.* Otolaryngology & Head and Neck Surgery Bay Shore and East Patchogue

Mark E. Carney, M.D. Otolaryngology & Head and Neck Surgery Staten Island

John A. Cece, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Wayne

Dorothy Chau, M.D. Allergy, Asthma and Immunology Staten Island

Leon Chen, M.D. Otolaryngology & Head and Neck Surgery Bronx

Ajay E. Chitkara, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson and East Patchogue

Won-Taek Choe, M.D. Otolaryngology & Head and Neck Surgery East Side and Englewood

Allergy, Asthma and Immunology Woodbridge and Old Bridge

* Indicates New Doctors to the Practice

17

Farhad R. Chowdhury, D.O. Otolaryngology & Head and Neck Surgery Woodbridge and Old Bridge

Wayne Chung, M.D. Otolaryngology & Head and Neck Surgery Bay Ridge East

Shawn C. Ciecko, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Staten Island

Jason P. Cohen, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Poughkeepsie

Tahl Y. Colen, M.D. Otolaryngology & Head and Neck Surgery Bay Ridge East , Bay Ridge West and Brooklyn Heights

John County, M.D., F.A.A.A.A.I.

Jeffrey N. Cousin, M.D. Otolaryngology & Head and Neck Surgery Yonkers and Tuckahoe

Robert Cusumano, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Oradell

Michael A. D’Anton, M.D. Otolaryngology & Head and Neck Surgery Wayne

Paul Davey, M.D. Otolaryngology & Head and Neck Surgery Riverhead and Southampton

Richard DeMaio, M.D. Otolaryngology & Head and Neck Surgery Fishkill and New Windsor

Jennifer Diaz, M.D. Allergy, Asthma and Immunology Port Jefferson

John P. Dodaro, M.D. Otolaryngology & Head and Neck Surgery Staten Island and Old Bridge

Jay N. Dolitsky, M.D., F.A.A.P. Otolaryngology & Head and Neck Surgery Fifth Avenue and Garden City

Mark S. Driver, M.D. Otolaryngology & Head and Neck Surgery Middletown

Lee D. Eisenberg, M.D., M.P.H., F.A.C.S. Otolaryngology & Head and Neck Surgery Englewood and Hackensack

Wayne Eisman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

Moshe Ephrat, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Lake Success

Joseph Feghali, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bronx

Virginia E. Feldman, M.D. Otolaryngology & Head and Neck Surgery Middletown

Gary S. Fishman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Carmel and West Side

Mark L. Fox, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Tuckahoe

Robert M. Gargano, M.D.* Otolaryngology & Head and Neck Surgery Bay Shore and East Patchogue

Paul Gittelman, M.D., F.A.C.S.* Otolaryngology & Head and Neck Surgery Purchase and New Rochelle

Aylon Y. Glaser, M.D. Otolaryngology & Head and Neck Surgery Hoboken

Harrison J. Glassman, M.D., F.A.C.S.

David A. Godin, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Fifth Avenue

Daniel Gold, M.D. Otolaryngology & Head and Neck Surgery White Plains

Steven M. Gold, M.D. Otolaryngology & Head and Neck Surgery Englewood

Steven I. Goldstein, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bronx * Indicates New Doctors to the Practice

e n t a n d a l l e r g y . c o m

Otolaryngology & Head and Neck Surgery Bronx

Allergy, Asthma and Immunology Yorktown and Sleepy Hollow

e n t a n d a l l e r g y . c o m

18

ENT & ALLERGY P h y s i c i a n P r o f i l e s

Michael A. Gordon, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Garden City

Ron D. Gottlieb, M.D.* Otolaryngology & Head and Neck Surgery Smithtown

Lynelle C. Granady, M.D. Allergy, Asthma and Immunology East Side

Robert P. Green, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery East Side

Daniel Grinberg, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Nyack

Ramez Habib, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bay Ridge West and Brooklyn Heights

Adrianna M. Hekiert, M.D. Otolaryngology & Head and Neck Surgery Bridgewater

Laura C. Helfner, M.D.* Allergy, Asthma and Immunology Hauppauge

Darren Hirsch, M.D.* Allergy, Asthma and Immunology Riverhead and East Patchogue

Jillian Hochfelder, M.D. Allergy, Asthma and Immunology Purchase and Tuckahoe

John J. Huang, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Oradell and West Nyack

Michael Hugh, M.D. Allergy, Asthma and Immunology Carmel and Poughkeepsie

Jeffrey H. Jablon, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Purchase and New Rochelle

Alexis H. Jackman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Purchase

Ofer Jacobowitz, M.D., Ph.D., F.A.A.S.M., F.A.A.O.A. Otolaryngology & Head and Neck Surgery Fifth Avenue and Middletown

Francis M. Jampol, M.D. Otolaryngology & Head and Neck Surgery Parsippany

Cynthia Jerome, M.D., F.A.A.A.A.I., F.A.C.A.A.I. Allergy, Asthma and Immunology White Plains

Steven B. Kase, M.D. Otolaryngology & Head and Neck Surgery White Plains

Matthew J. Kates, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery New Rochelle

Natasha Keenan, M.D. Otolaryngology & Head and Neck Surgery West Side

Paul E. Kelly, M.D. Otolaryngology & Head and Neck Surgery Riverhead and Southampton

Anastasiya Kleva, M.D.* Allergy, Asthma and Immunology Bronx

Mitchell T. Kolker, M.D. Otolaryngology & Head and Neck Surgery New Windsor and Fishkill

Sergey Koyfman, D.O., F.A.A.O.A. Otolaryngology & Head and Neck Surgery New Windsor and Middletown

David B. Lawrence, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Purchase

Amy D. Lazar, M.D. Otolaryngology & Head and Neck Surgery Bridgewater

Brian L. Lebovitz, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Parsippany

Jennifer S. Lee, M.D. Allergy, Asthma and Immunology Bay Ridge East and Astoria

Jonathan A. Lesserson, M.D. Otolaryngology & Head and Neck Surgery Hackensack and Oradell

Douglas Leventhal, M.D. Otolaryngology & Head and Neck Surgery Oradell * Indicates New Doctors to the Practice

19

Marc J. Levine, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Nyack

Guy Lin, M.D. Otolaryngology & Head and Neck Surgery East Side

Edward J. Lipinsky, M.D.* Otolaryngology & Head and Neck Surgery Smithtown

Craig Litman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson and East Patchogue

Richard S. Litman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson

Peter LoGalbo, M.D., F.A.A.A.A.I.

Robert J. Marchlewski, M.D.,

Scott B. Markowitz, M.D. Otolaryngology & Head and Neck Surgery East Side

Phillip L. Massengill, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Middletown

Erin McGintee, M.D. Allergy, Asthma and Immunology Southampton

Archana Mehta, M.D. Allergy, Asthma and Immunology Parsippany

Harshna Mehta, M.D. Allergy, Asthma and Immunology Hoboken

Vishvesh M. Mehta, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Woodbridge and Old Bridge

Michael G. Mendelsohn, M.D., F.A.C.S., F.A.A.P. Otolaryngology & Head and Neck Surgery Garden City

Scott R. Messenger, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Yorktown

Sima Mithani, M.D. Allergy, Asthma and Immunology Hackensack and Englewood

Ron Mitzner, M.D. Otolaryngology & Head and Neck Surgery Lake Success

Dan Moskowitz, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

Eric A. Munzer, D.O. Otolaryngology & Head and Neck Surgery Fishkill and New Windsor

Krzysztof M. Nowak, M.D., M.B.A.

Thomas R. O’Donnell, M.D.* Otolaryngology & Head and Neck Surgery Bay Shore and East Patchogue

Sheldon Palgon, M.D. Otolaryngology & Head and Neck Surgery Wall Street, Bay Ridge East and Brooklyn Heights

Joon H. Park, M.D. Allergy, Asthma and Immunology Middletown

Philip J. Passalaqua, M.D. Otolaryngology & Head and Neck Surgery Shrewsbury

Rami Payman, M.D. Otolaryngology & Head and Neck Surgery Poughkeepsie

George Pazos, M.D. Otolaryngology & Head and Neck Surgery Carmel and Yorktown

Prashant Ponda, M.D., F.A.A.A.A.I, F.A.C.A.A.I. Allergy, Asthma and Immunology New Windsor and Fishkill

Joel E. Portnoy, M.D. Otolaryngology & Head and Neck Surgery Lake Success and Riverhead

George A. Poulos, D.O. Otolaryngology & Head and Neck Surgery Wall Street and Astoria

Vin Prabhat, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Shrewsbury

Allergy, Asthma and Immunology Yonkers

* Indicates New Doctors to the Practice

e n t a n d a l l e r g y . c o m

F.A.A.P., F.A.C.A.A.I. Allergy, Asthma and Immunology Garden City

Allergy, Asthma and Immunology West Nyack

e n t a n d a l l e r g y . c o m

20

ENT & ALLERGY P h y s i c i a n P r o f i l e s

Roheen Raithatha, M.D. Otolaryngology Head and Neck Surgery Fifth Avenue

Jay Rechtweg, M.D. Otolaryngology & Head and Neck Surgery Garden City

Debra S. Reich, M.D. Otolaryngology & Head and Neck Surgery Yorktown

Edward Rhee, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Nyack

Hector P. Rodriguez, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Side and Poughkeepsie

Eric Roffman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Nyack

Richard A. Rosenberg, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

Hyman Ryback, M.D.,

F.R.C.S., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

Steven H. Sacks, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery East Side

Brian Safier, M.D. Allergy, Asthma and Immunology Bayside and Lake Success

Zarina S. Sayeed, M.D. Otolaryngology & Head and Neck Surgery Parsippany

Eric T. Scarbrough, M.D. Otolaryngology & Head and Neck Surgery Riverhead

B. Todd Schaeffer, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Lake Success

John J. Scheibelhoffer, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Wayne

Daniel A. Scher, M.D. Otolaryngology & Head and Neck Surgery Wayne

Charles M. Schultz, M.D. Otolaryngology & Head and Neck Surgery Parsippany

Darsit Shah, M.D. Otolaryngology & Head and Neck Surgery Shrewsbury

Lee M. Shangold, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson and East Patchogue

Frank G. Shechtman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

William H. Sher, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson

Michael Shohet, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery West Side

Abraham I. Sinnreich, M.D. Otolaryngology & Head and Neck Surgery Staten Island

Justin M. Skripak, M.D. Allergy, Asthma and Immunology Oradell

Jonathan C. Smith, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bronx

Theresa Sohn, M.D. Allergy, Asthma and Immunology Wayne

Christopher Song, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Bay Ridge West and Brooklyn Heights

Derek Soohoo, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery New Rochelle and Yonkers

Robert Sporter, M.D. Allergy, Asthma and Immunology Fifth Avenue

Gangadhar Sreepada, M.D. Otolaryngology & Head and Neck Surgery Wayne

Anna Stern, M.D.* Otolaryngology & Head and Neck Surgery Smithtown * Indicates New Doctors to the Practice

21

Gerald D. Suh, M.D. Otolaryngology & Head and Neck Surgery New Rochelle and Bayside

Jason Surow, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Oradell

Katherine Szema, M.D. Allergy, Asthma and Immunology Shrewsbury

Salvatore Taliercio, M.D. Otolaryngology & Head and Neck Surgery Sleepy Hollow

Raj Tandon, M.D. Otolaryngology & Head and Neck Surgery Hoboken

Michael Tavill, M.D., F.A.C.S.* Otolaryngology & Head and Neck Surgery Shrewsbury

Michael B. Tom, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Yonkers

Milo F. Vassallo, M.D., Ph.D.

Allergy, Asthma and Immunology Bay Ridge West and Brooklyn Heights

A. Paul Vastola, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Brooklyn Heights and Staten Island

Mark D. Very, M.D. Otolaryngology & Head and Neck Surgery Poughkeepsie

Tamekia Wakefield, M.D. Otolaryngology & Head and Neck Surgery Bayside and Astoria

Jared M. Wasserman, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Englewood and Hackensack

Joshua Weissman, M.D. Otolaryngology & Head and Neck Surgery Yonkers and Tuckahoe

Karen Wirtshafter, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Parsippany

Stanley Yankelowitz, M.D., F.R.C.S. Otolaryngology & Head and Neck Surgery Bronx

Francisca Yao, M.D. Otolaryngology & Head and Neck Surgery Bay Ridge West and Brooklyn Heights

Hale Yarmohammadi, M.D., MPH

Irene Yu, M.D. Otolaryngology & Head and Neck Surgery Purchase and New Rochelle

Richard T. Yung, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery White Plains

Lauren S. Zaretsky, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson and East Patchogue

Jill F. Zeitlin, M.D. Otolaryngology & Head and Neck Surgery Sleepy Hollow

Warren H. Zelman, M.D.,

Allergy, Asthma and Immunology Wall Street

F.A.C.S., F.A.A.P. Otolaryngology & Head and Neck Surgery Garden City

* Indicates New Doctors to the Practice

e n t a n d a l l e r g y . c o m

John P. Sugrue, M.D., F.A.C.S. Otolaryngology & Head and Neck Surgery Port Jefferson and East Patchogue

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24

ENT & ALLERGY A u d i o l o g i s t s P r o f i l e s

e n t a n d a l l e r g y . c o m

ENTA A UDIOLOGISTS Stephanie Adler, Au.D., CCC-A Rohima Badri, Ph.D. Kristin Barringer Rich, Au.D. Sara Beckerman, Au.D., CCC-A, F-AAA Rebecca Bieker, Au.D., CCC-A Sue Bloom, M.S., CCC-A, F-AAA Marcia Brucculeri, Au.D. Emily Bunce, Au.D. Diane Butfilowski, M.S., CCC-A, F-AAA Dolores Campbell, M.S., CCC-A Carmelina Cerrone, M.A., F-AAA Jessica Cofoni, Au.D. Jessica Comparetto, M.A., CCC-A Maureen Connington, Ph.D. Beata Contri, Au.D., CCC-A Vincent D’Auria, Au.D., CCC-A Diana DeSantos, Au.D. Francesca Dinatale-Lepsis, Au.D., CCC-A, F-AAA Cara Dorazio, Au.D. Nicole Dornicik, Au.D., CCC-A, F-AAA Debra L. Dziedzic, Au.D., CCC-A, F-AAA Jenna M. Elias, Au.D., CCC-A Theresa Faughnan, M.A., CCC-A, F-AAA Arielle Feiman, Au.D., CCC-A Molly Folger, Au.D.,CCC-A Nancy Fontana, Au.D., CCC-A Harriet Friedman-Wilson, Au.D., CCC-A, F-AAA James Gahn, M.A. Anna Gershteyn, Au.D., CCC-A, F-AAA Allison Godlewicz, Au.D. Margaret Goldberg, Au.D., CCC-A Gregg Goldhagen, M.S., CCC-A, F-AAA Cathy Hadeshian, M.A., CCC-A Kelle Harrison, M.S., F-AAA Kimberly Hetterich, Au.D., F-AAA Roxanne Hoffman, Au.D. Joshua Jablonski, Au.D, CCC-A Sharon Judlowitz, Au.D. Arnold Kahgan, Au.D. Michael Kaufer, Au.D., MPA, CCC-A/SLP Randi Kirschner, Au.D. Katherine Kleban, Au.D. Jessica Krzysik, Au.D., F-AAA Karen Kupper Langan, Au.D. Dana Leggieri, Au.D., CCC-A, F-AAA Linda Liebowitz, M.S., CCC-A Jennifer Lohr-Seitz, M.S., CCC-A, F-AAA

OFFICE Bayside Woodbridge New Windsor Fifth Avenue Bronx Woodbridge East Patchogue, Bay Shore Southampton West Nyack Port Jefferson Fishkill, Middletown Bridgewater, Woodbridge Sleepy Hollow, White Plains New York Staten Island Yorktown Heights Garden City Garden City Shrewsbury Riverhead, Southampton Middletown Wall Street Tuckahoe Carmel, West Nyack Parsippany East Patchogue, Port Jefferson Staten Island Fishkill, New Windsor Lake Success Fifth Avenue, East Side Port Jefferson East Side Bronx Poughkeepsie East Patchogue, Port Jefferson Garden City Bay Ridge East, Bay Ridge West, Brooklyn Heights New Rochelle New Windsor Bayside Bronx Englewood, Oradell Parsippany Shrewsbury Wayne Hackensack Riverhead

25 ENTA AUDIOLOGISTS

OFFICE Astoria

Laura McCrone, Au.D., CCC-A, F-AAA Laura McElhennon, M.A., CCC-A, F-AAA Mala Mehta, M.A., CCC-A Morganne Miller, Au.D. Robin Mitrani, Au.D., F-AAA Yvonne Mudaro, Au.D., F-AAA Elizabeth Nemec, Au.D., F-AAA Amanda Neubauer, Au.D. Mary O’Sullivan, M.A., CCC-A, F-AAA Lorianne K. Owen, M.A., CCC-A, F-AAA Danielle Peyman, Au.D., CCC-A, F-AAA Barbara Posen, M.S., CCC-A Sreedivya Pradeep, Ph.D., F-AAA Patricia Reciniello, M.A., CCC-A Lorraine Rein, Au.D. Angela Riemma, Au.D., CCC-A, F-AAA Danielle Rosende, Au.D.,CCC-A, F-AAA Robert Rosengarten, M.S., CCC-A, F-AAA Debra Rosenmeyer, M.A., CCC-A Nicole Rubin, M.A., CCC-A Leigh Ann Sauerbier, Au.D. Phyllis Schaffer-Cohen, Au.D., CCC-A, F-AAA Caroline Schueren, Au.D., F-AAA Benjamin G. Schultz, Au.D., CCC-A Lauren Sessa, Au.D., CCC-A Ilene Shapiro, M.A., CCC-A Sofya Shlafman, Au.D., CCC-A, F-AAA Lauren Solliday, Au.D. Katelyn Stoehr, Au.D., CCC-A, F-AAA Amanda Sullivan, Au.D., F-AAA Barbara Rooney Tartaglia, Au.D., F-AAA Marisa Thylstrup, Au.D., F-AAA Evmorfia Tzanis, Au.D. Margot Veneziano, Au.D. Michelle Waller, Au.D., CCC-A Marcia Warren, Au.D.

Oradell West Nyack Hoboken, Wayne New Windsor Smithtown, East Patchogue Smithtown, Bay Shore Englewood Bay Shore, East Patchogue Yonkers Bridgewater East Patchogue, Port Jefferson White Plains, Yonkers Middletown Garden City Bay Shore, Garden City Purchase Fifth Avenue, Hoboken Old Bridge Carmel, Fishkill Garden City East Side Hackensack, Oradell East Patchogue, Port Jefferson Bay Ridge West, Brooklyn Heights Bronx White Plains Bay Ridge East Lake Success East Patchogue Poughkeepsie Yonkers White Plains, Yorktown Heights Sleepy Hollow New Rochelle Port Jefferson, Southampton Old Bridge, Shrewsbury

Sue Weinstein, M.S., CCC-A, F-AAA Carol Wesemann, Au.D.,CCC-A Shereeta Williams, Au.D. Richard Winter, Au.D., CCC-A Yevgeniya Yubliler, Au.D., F-AAA Phyllis Zlotnick, M.A., CCC-A

White Plains Lake Success Bay Shore, East Patchogue Bronx Englewood Hackensack, Wayne

*Many Audiologists practice at more than one location. For more information please visit www.entandallergy.com/service/hearing-aids/professionals*

Au.D. - Doctor of Audiology • CCC-A - Certificate of Clinical Competency in Audiology • F-AAA - Fellow of the American Academy of Audiology MA - Master of Arts • MS - Master of Science • Sc.D. - Doctor of Science

e n t a n d a l l e r g y . c o m

Rachel Marcus, Au.D., CCC-A, F-AAA

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28

A New Treatment

for

Sinus Sufferers M i c h ae l Be r g s te i n , M . D ., F.A.C .S.

e n t a n d a l l e r g y . c o m

Otolaryngology & Head and Ne ck Su r ge r y ENT and Allergy Associ a te s , L L P

Diseased Sinus vs Healthy Sinus

O

ver 35 million Americans suffer from chronic sinus disease today. Chronic sinusitis is among the most common diagnoses for those who visit their physician complaining of coughing, sinus pressure, congestion, postnasal drainage and headaches. Often, patients misdiagnose themselves as simply suffering from seasonal allergies. While medications such as decongestants, antibiotics, antihistamines and steroids can provide relief for chronic sinusitis, many times they do not solve the problem entirely and surgery is required. John Madera is a 32-year-old businessman and CrossFit athlete who works out six days a week. He suffered with chronic sinus headaches, and “always felt tired, and sluggish”. His quality of life was significantly altered by his chronic sinus condition.

John said immediately after the surgery "have we started yet?", meaning that he experienced very little postoperative pain. He said "by the third day I was feeling fine and each day thereafter was better and better with very little discomfort".

A new treatment for sinus sufferers:

A new treatment that is gaining traction every day within the Ear Nose and Throat offices is a dissolvable sinus stent, PROPEL®, that is placed at the end of surgery. Just as coronary drug-eluting stents release medications for their

patients with clogged arteries, the lightweight PROPEL® Stent holds open the sinus after surgery to steadily deliver low-dose anti-inflammatory medication to the healing sinus tissue. John’s symptoms are typical of many of my patients who suffer with chronic sinusitis. That is, they suffer with headaches, chronic nasal stuffiness and sinus pressure that affect their day-to-day quality of life. For the past 20 years since the advent of functional endoscopic sinus surgery, I have been gratified at seeing the resolution of my patients’ symptoms and their return to their day–today life free of sinus congestion and pressure. Now with the advent of the PROPEL® Stent my patients’ recovery is hastened even further and their transition back to school and work has been advanced significantly. The PROPEL® Stent has been revolutionary in improving patients outcomes with virtually no pain or discomfort.

How it works:

The PROPEL® Stent is carefully placed by an experienced Ear, Nose and Throat physician into the sinus cavity at the end of surgery. The stent remains there for a period of weeks, utilizing a spring like mechanism to open up the nasal passageway. At the same time, it provides antiinflammatory therapy, which helps to reduce scarring and the need for oral steroids in the postoperative period. Best

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Step 2: The PROPEL stent’s spring-like design allows it to conform to the unique shape of the sinus and props it open.

Step 3: An anti-inflammatory medication is delivered in a controlled manner, directly into the healing sinus tissues that need it over 30 days.*

Step 4: Dissolves in 30 to 45 days.

of all, after a few weeks the stent dissolves on its own, and no removal is necessary, making postoperative care easier on patients.

Conclusion:

Mary Kate McHugh is a 25-year-old healthy female who was "tired all day" and snoring every night. “I couldn't breathe at all through my nose and I had headaches all the time which made me cranky ". After her sinus surgery and placement of her PROPEL® stent, her recovery was "super easy”. She said that she feels now like a "new person".

Clinical Data:

Minimally invasive sinus surgery with PROPEL® offers promising improvement for those who have experienced nasal and sinus blockage resulting from chronic sinusitis. The outcomes associated with this new technology are highly encouraging. The stent has been studied in three prospective clinical trials conducted in the United States, and was awarded the American Rhinologic Society’s prestigious award for top notch use of clinical science.

When a patient's chronic sinusitis does not respond to medications, surgery to enlarge the opening to drain the sinuses may provide the best option. The PROPEL® drug releasing stent offers a new weapon in the fight against chronic sinusitis, backed by clinical data and positive patient post-surgical outcomes. ENT & Allergy Associates, LLP is proud to offer this new technological breakthrough to our patients. You can reach Dr. Michael J. Bergstein MD, FACS in the following offices: 358 North Broadway, Suite 203 Sleepy Hollow, NY 10591 914-631-3053 2649 Strand Blvd., Suite 206 Yorktown Heights NY, 10598 914-245-2681 * Data on file

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Step 1: PROPEL Sinus Stent is placed in the open surgical cavity.

We Know Professionals! Robert A. Clarfeld, CPA, CFP®

CEO/Founder of Clarfeld Financial Advisors

New York’s #1 Ranked Independent Wealth Advisor by Barron’s *

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Founded in 1981, Clarfeld Financial Advisors’ multidisciplinary professionals manage over $4.5 billion and deliver a full range of sophisticated wealth management services. · Portfolio Construction and Investment Management · Strategies for Highly Concentrated Portfolios · · Tax Planning, Compliance and Governmental Representation · Estate and Legacy Planning; Intra-family Financial Strategies · Comprehensive Family Office Services · Expatriate Taxation and Cross-border Planning ·

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ENT and Allergy Associates Associates throughout New York City, physicians are located County and in Northern New Westchester, Rockland, 25 offices physicians and Orange Jersey. Our 80+ board-certified state-of-the-art over 40 licensed audiologists provide high disorders, and care in the areas of ear, quality, utilize the latestoffer a variety of highly nose, throat, and allergy of a large group medical technology. specialized procedures that We weekend hours practice, with multiple offer the convenience office sites, and prompt evening and appointment scheduling.

M.D. rman, Wasse

ENT and Allergy Screening

Center Locations

How to Begin

Patients: please ask the front Allergy Associates office for information staff at your local ENT screening, or about a head and visit and neck cancer more information www.entandallergy.com/screening about the program appointment. to access and how to schedule an Practitioners: please call and visit us on the web us to refer a patient to our program, to find the at www.entandalle nearest screening rgy.com/locatio center. ns

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Early detec tion of head and neck cancer... Westchester White Plains County Sleepy Hollow(914-949-3888) n Yorktown (914-631-3053) (914-245-2681) Purchase (914-253-8070) n Yonkers (914-963-8588) n New Rochelle (914-235-1888) Tuckahoe (914-961-2515) Putnam and Rockland Counties Carmel (845-279-9500) n West Nyack (845-727-1370) Orange and Dutchess Counties Fishkill (845-896-1809) n Poughkeepsie Newburgh (845-562-0760) (845-471-4086) New York City Bayside (718-631-8899) Bronx (718-863-4366) n Gramercy (212-679-3499) n Wall East Side (212-722-5570) Street West Side (917-441-7824) n Bay Ridge(212-571-0355) (718-748-5225) n Staten Island (718-370-0072) Long Garden City Island (516-222-1881) New Jersey Wayne (973-633-0808) n Englewood Hackensack (201-883-1062) (201-567-2771) Parsippany (973-394-1818) n Oradell (201-722-9850) n Mahwah Somerville (908-722-1022) (201-825-6200)

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Finding Sinus Relief

in the

Doctor’s Office B. To d d S c h ae ffe r , M . D., F.A.C .S.

Otolaryngology & Head and Ne ck Su r ge r y ENT and Allergy Associ a te s , L L P

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n-office sinus relief will be more accessible for sinus sufferers as a result of

new minimally invasive technologies. Thirty-seven million Americans suffer with chronic sinusitis and new in-office technologies maybe the panacea everybody has been looking for. The results of national research studies demonstrated balloon catheters could safely widen the natural sinus opening in the office under a local anesthetic1,2, avoiding a trip to the operating room and general anesthesia. Endoscopic sinus surgery is still considered the gold standard to treat sinus disease refractory to medical therapy. Despite this, balloon sinus dilation has become more popular as doctors acquire these skills and significant subsets of patients opt for this minimally invasive procedure. The down time is less than 24 hours, there is virtually no bleeding and significantly less discomfort. Actually, the results are almost immediate. Patient selection is key and an experienced sinus surgeon who can perform in-office balloon sinus dilation is paramount. The contraindication to balloon dilation of sinuses is extensive nasal/sinus polyps because polyps need to be removed. However, there is good news for these patients since new technologies have brought disposable polyp shavers to the office and sinus implants which shrink polyps.

Symptoms of Chronic Sinusitis • Pain over sinuses • Purulent drip • Nasal congestion • Discolored mucous • Inability to smell • Low grade fever • Cough

Dr. B. Todd Schaeffer has been an endoscopic sinus surgeon for over twenty years. His practice is focused on the diagnosis, treatment and research of nasal and sinus problems. He is an experienced surgeon in minimally invasive sinus office procedures and skull base surgery. In-office polyp removal followed by a sinus implant will help open sinuses, maintain3 their patency and shrink residual polyps. The polyps will be removed with a small disposable shaver. We will be enrolling recurrent polyp patients this summer in a study to reduce polyps in the office and again avoiding general anesthesia and surgery. The polyps will be shaved and a steroid emitting implant will be placed. The patients who qualify have recurrent polyps after a previous sinus operation. The patients who qualify for in-office sinus procedure have failed medical treatment. Typically, they have been on at least two to three antibiotics over a three month period. Most patients have suffered longer. A CT scan of the sinuses will demonstrate sinus infection or narrowed outflow tracts either causing sinusitis or predisposing them to recurrent infections. Another study starting this summer we will be using a novel sinus-dilating device (SinuSys Corporation) instead of a balloon. This expands over one hour by hydrostatic osmotic pressure. This may have the advantage of being less traumatic and easier to position than a balloon.

• Phlegm in throat • Symptoms > 3 months • Fatigue

Avoiding general anesthesia and surgery The advantages of in-office-procedures are: minimal bleeding, quicker recovery (usually one day), avoiding general anesthesia and less postoperative swelling and pain. Patients who are on blood thinners (aspirin, Plavix, Coumadin, Eloquis, Xarelto and Lovenox), may be able to discontinue these medications for a shorter period of time. Patients with co-morbid conditions such as asthma, diabetes, COPD, obesity and obstructive sleep apnea may not be ideal candidates for general anesthesia. These in-office procedures are ideal since the risk of general anesthesia is eliminated since the patient is awake under a local anesthetic. Patients with tight work schedules who are unable to miss a week of work also opt for this less invasive but just as effective procedure.

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View Dr. B. Todd Schaeffer’s channel on YouTube (Search NoseMD) or Google NoseMD Dr. Schaeffer was the first surgeon to perform Balloon SinuplastyTM in New York State. He was the first to perform in-office balloon sinus ostia dilation (FinESS) under local anesthesia in the northeastern United States. You can reach Dr. Schaeffer at (516) 775-2800 in Lake Success, NY 11042 www.SchaefferMD.com

SinuSysTM Vent-Os® Vent catheter system delivers simple, gradual, low-pressure sinus dilation via unique osmotic self-expanding technology.

Entellus Medical XprESSTM Ultra nasal balloon catheter system. Has LED illumination system built in with separate battery power supply.

Intersect ENT : PROPEL and PROPEL mini. A steroid emitting sinus implant placed after sinus surgery and/or polyp removal. This helps to open, deliver and maintain sinus patency.

The PolypVac is a handheld, self-contained, disposable, suctionpowered microdebrider designed specifically for nasal polyp removal in the office or clinic

1. Impact of Chronic Rhinosinusitis on Work Productivity through One Year Follow-Up after Balloon Dilation of the Ethmoid Infundibulum by Stankiewicz, James; Tami, Thomas; Truitt, Theodore; Atkins, James; Winegar, Bradford; Cink, Paul; Schaeffer, B. Todd; Raviv, Joseph; Henderson, Diana; Duncavage, James; Hagaman, David, International Forum of Allergy and Rhinology Vol.1, Issue 1,Pages 38-45, Jan/Feb 2011 2. First clinic experience: patient selection and outcomes for ostial dilation for chronic rhinosinusitis. Cutler J, Truitt T, Atkins J, Winegar B, Lanier B, Schaeffer BT, Raviv J, Henderson D, Duncavage J, Stankiewicz J, Tami T. Int Forum Allergy Rhinol. 2011 Nov-Dec;1(6):460-5. 3. RESOLVE: a randomized, controlled, blinded study of bioabsorbable steroid-eluting sinus implants for in-office treatment of recurrent sinonasal polyposis. Int Forum Allergy Rhinol. 2014 Nov;4(11):861-70.

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Novel New Medical Devices Which Have Made In-Office Procedures A Reality For Sinus Sufferers

Expand your sinusitis treatment options The Vent-Os™ procedure opens up new possibilities.

Learn more about the Vent-Os™ Sinus Dilation System at SinuSys.com MRK-0536 RevA

13MM8690_ENT_b_salvani_Layout 1 7/31/13 10:18 AM Page 1

Rely on us to help you take the best care of your patients – and your practice. We are your single source medical supply partner, for all your practice needs.

Henry Schein is a proud supporter and business partner of ENT and Allergy Associates, LLP • Widest selection of office and lab equipment • Custom Medical Buying Program for supplies

24HR direct contact: BRUCE SALVANI

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We manage your insurance solutions. Risk Strategies Company strives to protect our clients with the most comprehensive competitive insurance products tailored to meet your personal and business needs. We have over 60 active relationships with insurance companies, giving us the depth and flexibility to present numerous options fitting your objectives. For more information about Risk Strategies Company and our insurance solutions, contact Jordan Bergstein at [email protected] or 516-858-5770. You can also visit: www.risk-strategies.com One Hollow Lane, Suite 206 | Lake Success, NY 11042

ENT and Allergy Associates, LLP® 560 White Plains Rd., 6th FL Tarrytown, NY 10591

ST P constantly

medicating. ST P suffering. ST P the sinus pressure. And breathe. Entellus Medical ™ balloon sinus dilation is a less invasive method to treat chronic and recurrent sinusitis. This convenient and comfortable in-office procedure gently restores sinus drainage, so you can get back to your life — most patients return to normal activity within 24 hours.1 And it’s covered by the majority of insurance companies.

“This procedure changed my life.” View success stories at www.SinusSurgeryOptions.com Published reference and/or data on file at Entellus Medical, Inc. Balloon sinus dilation technology may be used to treat certain conditions affecting the sinus above your eyebrows, behind your cheeks and eyes. Your physician will need to determine if your condition is one that may benefit from this treatment and can help you understand the risks and benefits of this procedure. To learn more about this procedure and the potential risks, ask your physician.

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XprESS Indications for Use: To access and treat the frontal recesses, sphenoid sinus ostia, and maxillary sinus ostia/ethmoid infundibula in adults using a trans-nasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. Entellus and XprESS are trademarks of Entellus Medical, Inc.

© 2015 Entellus Medical, Inc.

1956-081 rA 08/2015